The Effect of Different Schedules of Functional Task Practice for Improving Hand and Arm Function After Stroke

NCT00361660 | Withdrawn

• 1 other identifier: 407-2005A
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

The first purpose of this study is to determine how often people should practice motor skills to best improve the ability to use the affected arm and hand after stroke. The second purpose is to determine whether it is better to practice a lot of repetitions of a few tasks or a few repetitions of many tasks during motor rehabilitation for the arm and hand after stroke.

Conditions

Cerebrovascular Accident; Hemiplegia

Keywords

Motor skills; Occupational Therapy; Physical Therapy Techniques; Rehabilitation; Upper Extremity; Stroke

Outcome Measures

Primary Outcomes (1)

• Upper extremity subscale of the Fugl-Meyer Motor Assessment

  immediately after therapy ends

Secondary Outcomes (1)

• Wolf Motor Function Test

  Immediately after therapy ends

Study Arms (2)

1

EXPERIMENTAL

Therapy is provided every other day 3 days per week (Monday, Wednesday, Friday).

Behavioral: functional task practice - distributed

2

ACTIVE COMPARATOR

The same therapy is provided daily Monday through Friday

Behavioral: functional task practice - condensed

Interventions

functional task practice - distributed BEHAVIORAL

This functional task practice is modeled after Constraint-Induced Movement Therapy in which participants wear a mitt on the non-paretic arm for up to 90% of waking hours and then attend therapy for 3 hours a session Monday, Wednesday, and Friday in which they practice various functional tasks, such as tracing a stencil, placing toothbrushes in toothbrush holders, etc.

Also known as: constraint-Induced Movement Therapy

1

functional task practice - condensed BEHAVIORAL

This functional task practice is modeled after Constraint-Induced Movement Therapy in which participants wear a mitt on the non-paretic arm for up to 90% of waking hours and then attend therapy for 3 hours a session Monday through Friday in which they practice various functional tasks, such as tracing a stencil, placing toothbrushes in toothbrush holders, etc.

Also known as: Constraint-Induced Movement Therapy

2

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• hemiparesis due to unilateral stroke at least 3 months prior
• years of age
• able to extend the paretic wrist 200 and at least 1 finger 100
• able to follow 2-step commands
• score \< 3 on the Motor Activity Log Amount of Use scale

You may not qualify if:

• have no medical or orthopedic condition that would significantly limit ability to participate in the intervention or benefit from the therapy
• have no history of other major neurologic or psychiatric condition or injury, and have no active drug or alcohol abuse.

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

MeSH Terms

Conditions

Stroke; Hemiplegia

Interventions

Constraint Induced Movement Therapy

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Physical Therapy Modalities; Therapeutics; Rehabilitation

Study Officials

• Lorie G Richards, PhD

  North Florida/South Georgia Veterans Health System

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED

Study Record Dates

• First Submitted: August 7, 2006
• First Posted: August 8, 2006
• Study Start: August 1, 2006
• Primary Completion: August 1, 2007
• Study Completion: December 1, 2007
• Last Updated: June 26, 2015

Record last verified: 2015-06